Images in Clinical Medicine
Emphysematous Pyelonephritis
N Engl J Med 2016; 375: 1671
A 51-year-old man presented with fever and general malaise of 2 weeks' duration. He had had diabetes mellitus for the preceding 20 years, and at the time of presentation this condition was poorly controlled. On admission to the hospital, his white-cell count was 10,800 per cubic millimeter (normal range, 3900 to 9800). The C-reactive protein level was 8.6 mg per deciliter, blood urea ni...

IMAGES IN CLINICAL MEDICINE
Takayasu's Arteritis
Saori Sakaue, M.D.Noboru Hagino, M.D.
N Engl J Med 2016; 375:675 August 18, 2016
DOI: 10.1056/NEJMicm1503040
A previously healthy 36-year-old Japanese woman presented with blood pressure that was difficult to control after she had undergone an emergency cesarean section at 29 weeks of gestation because of severe hypertension and fetal growth restriction. During pregnancy, her blood pressure had been more than 180/100 mm Hg,...

Hypopyon and Klebsiella Sepsis
Osama M. Mustafa, Patricio M. Aduriz-Lorenzo
N Engl J Med 2016; 374: e33
DOI: 10.1056/NEJMicm1509932
A 49-year-old man with a history of diabetes mellitus reported having blurry vision in the right eye 3 days after being admitted to the hospital for investigation of elevated levels of creatinine, liver enzymes, and bilirubin following 9 days of generalized weakness. He had been receiving treatment for bacteremia caused by Klebsiella pne...